Individual
EVAN K TUMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
515 S KINGS AVE STE 1100, BRANDON, FL 33511-6060
(813) 530-4944
(813) 530-4495
Mailing address
PO BOX 748817, ATLANTA, GA 30374-8817
(813) 286-0033
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME107238
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014367100
—
FL
Enumeration date
03/26/2008
Last updated
06/22/2023
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